Ascension Calumet Hospital, Inc.
614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Control throat bleeding CPT 42962 | not published | not published | $545.16 – $1,855.05 | 7 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $199.65 – $3,618.98 | 6 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $195.05 – $3,345.71 | 6 |
| Conv gtube to jtube CPT 44373 | not published | not published | $196.63 – $699.71 | 7 |
| Coombs direct CPT 86880 | $35.34 | $62.00 | $5.66 – $20.81 | 11 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $6.01 – $22.08 | 11 |
| Coombs indirect titer reference CPT 86886 | not published | not published | $5.44 – $19.99 | 11 |
| Copper intrauterine device HCPCS J7300 | $784.89 | $1,377.00 | $1,372.48 – $1,372.48 | 2 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,102.50 – $4,053.00 | 7 |
| Core ndl bx lng/med perq CPT 32408 | not published | not published | $156.76 – $3,630.30 | 6 |
| Cor hlx vlgs double osteot CPT 28299 | $927.96 | $1,628.00 | $632.26 – $1,988.10 | 7 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $742.71 | $1,303.00 | $549.35 – $1,594.29 | 7 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $744.99 | $1,307.00 | $539.23 – $1,616.77 | 7 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $5.64 – $22.41 | 6 |
| Corneal smear CPT 65430 | not published | not published | $106.83 – $422.06 | 7 |
| Corneal transplant CPT 65710 | not published | not published | $1,204.76 – $4,101.26 | 7 |
| Corneal transplant CPT 65730 | not published | not published | $1,323.24 – $4,534.05 | 7 |
| Corneal transplant CPT 65750 | not published | not published | $1,330.91 – $4,559.70 | 7 |
| Corneal transplant CPT 65755 | not published | not published | $1,326.57 – $4,538.40 | 7 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,245.31 – $4,305.00 | 7 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $329.10 – $1,072.91 | 7 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $290.49 – $946.97 | 7 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $368.29 – $1,200.75 | 7 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $274.26 – $893.68 | 7 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $235.53 – $767.77 | 7 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $1,289.34 | $2,262.00 | $55.96 – $166.40 | 7 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $942.78 | $1,654.00 | $519.85 – $1,768.36 | 7 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $320.02 – $1,654.88 | 7 |
| Correct finger deformity CPT 26567 | not published | not published | $761.05 – $2,506.99 | 7 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $640.29 – $2,726.25 | 7 |
| Correction claw finger other CPT 26499 | not published | not published | $915.24 – $3,026.78 | 7 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $510.01 – $3,290.74 | 7 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $635.46 – $3,641.93 | 6 |
| Correction of astigmatism CPT 65772 | not published | not published | $429.47 – $1,648.13 | 7 |
| Correction of astigmatism CPT 65775 | not published | not published | $608.58 – $2,050.39 | 7 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $175.31 – $924.41 | 7 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $23.59 – $112.67 | 7 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $145.46 – $979.73 | 7 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,483.69 – $5,251.58 | 7 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $752.11 – $2,491.05 | 7 |
| Correct rectal prolapse CPT 45541 | not published | not published | $960.69 – $3,375.86 | 7 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $1,076.85 – $3,803.18 | 7 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $117.24 – $671.89 | 7 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $513.63 – $2,695.61 | 6 |
| Corrj halux rigdus without implt CPT 28289 | $767.22 | $1,346.00 | $491.18 – $1,649.13 | 7 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $34.25 – $125.91 | 11 |
| Cortisol total am CPT 82533 | $86.07 | $151.00 | $17.12 – $62.92 | 11 |
| Costotransversectomy CPT 21610 | not published | not published | $1,186.48 – $4,044.38 | 7 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $54.72 | $96.00 | $33.68 – $96.00 | 6 |
| Co-treatment - group 15 mins, st CPT 92508 | $58.71 | $103.00 | $26.34 – $80.00 | 7 |
| Counseling smoke cess interm >10mins CPT 99407 | $86.64 | $152.00 | $26.97 – $53.09 | 7 |
| Cover eye w/membrane CPT 65778 | not published | not published | $46.80 – $5,114.33 | 7 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $124.06 – $4,423.95 | 7 |
| #covid19rsv-rsv CPT 87634 | $71.25 | $125.00 | $73.71 – $270.97 | 7 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $39.90 | $70.00 | $8.32 – $50.30 | 11 |
| C-peptide CPT 84681 | $27.93 | $49.00 | $7.47 – $80.33 | 11 |
| Cptrized corneal topography CPT 92025 | not published | not published | $20.66 – $54.79 | 7 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $26.53 – $49.01 | 7 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,310.48 – $8,029.50 | 7 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,598.47 – $5,533.20 | 7 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,934.58 – $6,685.01 | 7 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,684.82 – $9,290.29 | 7 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $2,839.98 – $9,902.33 | 7 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,837.00 – $6,385.31 | 7 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $2,007.67 – $6,944.66 | 7 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,932.42 – $6,671.85 | 7 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,128.50 – $7,383.83 | 7 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $33.57 – $82.11 | 7 |
| C-reactive protein CPT 86140 | $19.38 | $34.00 | $5.44 – $19.99 | 11 |
| C-reactive protein high sensitivity CPT 86141 | $27.93 | $49.00 | $13.60 – $49.99 | 11 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $10.02 – $41.07 | 11 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $772.36 – $2,779.95 | 7 |
| Create eardrum opening CPT 69436 | not published | not published | $169.14 – $565.50 | 7 |
| Create passage to kidney CPT 52334 | not published | not published | $188.38 – $667.01 | 7 |
| Create tear duct drain CPT 68745 | not published | not published | $863.83 – $2,858.89 | 7 |
| Create tear duct drain CPT 68750 | not published | not published | $911.28 – $2,978.48 | 7 |
| Create tear sac drain CPT 68720 | not published | not published | $858.12 – $2,843.96 | 7 |
| Creatine isoforms CPT 82554 | not published | not published | $8.81 – $45.82 | 11 |
| Creatine kinase CPT 82550 | $25.08 | $44.00 | $6.84 – $25.13 | 11 |
| Creatine kinase isoenzymes CPT 82552 | $49.02 | $86.00 | $14.06 – $51.69 | 11 |
| Creatine kinase mb CPT 82553 | $31.35 | $55.00 | $8.81 – $44.58 | 11 |
| Creatine - sendout CPT 82540 | not published | not published | $4.87 – $17.91 | 11 |
| Creatinine CPT 82565 | $20.52 | $36.00 | $5.38 – $19.76 | 11 |
| Creatinine 24 hour urine CPT 82570 | $24.51 | $43.00 | $5.44 – $19.99 | 11 |
| Creatinine clearance urine CPT 82575 | $34.77 | $61.00 | $9.93 – $36.52 | 11 |
| #creutz-prot.,western blot CPT 84182 | $50.16 | $88.00 | $25.36 – $112.75 | 11 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $549.38 – $1,868.25 | 7 |
| Cricotracheal resection CPT 31592 | not published | not published | $1,813.28 – $6,186.71 | 6 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $141.00 – $484.52 | 6 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $69.87 – $231.63 | 6 |
| Critical care 30-74 minutes CPT 99291 | $2,368.35 | $4,155.00 | $222.55 – $608.98 | 7 |
| Critical care each additional 30 minutes CPT 99292 | $2,368.35 | $4,155.00 | $111.70 – $268.76 | 7 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,302.09 – $4,532.89 | 7 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,128.81 – $3,887.96 | 7 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $6.27 | $11.00 | $0.79 – $11.00 | 6 |
| Cross-over vein graft CPT 34520 | not published | not published | $955.65 – $3,428.55 | 7 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $761.01 – $2,695.46 | 7 |
| Cryoablate prostate CPT 55873 | not published | not published | $798.20 – $22,505.48 | 7 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $154.91 – $629.33 | 7 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $9.18 – $54.58 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.